Page 254 - ATP-P 11th Ed

Restraint (SOF medical personnel should work with handler to learn
muzzling techniques)
1. Always muzzle a dog when working on them.
2. Physical restraints with muzzles or improvised muzzles
a. Field expedient muzzle:
i. Kerlix is wrapped around the snout several times and then tied behind the head.
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SECTION 2

ii. The leash is wrapped around the snout and held tightly.

3. Chemical restraint if needed to protect handler and medic
a. Dexmedetomidine (Dexdomitor ) (only use if nontraumatic injury) reversed
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with atipamezole (Antisedan ). After onset, dexmedetomidine (Dexdomitor ) gives
20–30 minutes of good sedation when administered with labeled dose.
b. For mild sedation, a combination of midazolam (0.3mg/kg) plus ketamine
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(Ketalar ) (5mg/kg) can be administered IM or IV.
c. For deep sedation, a combination of morphine (1mg/kg) plus midazolam (0.3mg/kg)
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plus ketamine (Ketalar ) (5mg/kg) can be administered IM.
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i. Hydromorphone (Dilaudid ) (0.1mg/kg) may be used in place of morphine.
Disposition
Evacuate as per applicable TMEP protocol.
244 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 245